Priapism refers to an erection, typically painful, that lasts for more than four hours and is not of necessity the result of sexual stimulation. This condition develops when blood in the penis becomes trapped and not capable to drain. The condition is most common between the ages of 5 to 10 years and 20 to 50 years. Priapism needs to be treated instantly to avoid the likely result of everlasting erectile dysfunction. Priapism does not usually resolve itself so medical attention is absolutely necessary.
Causes of Priapism
Although up to one third of cases have no exact cause, other conditions causing priapism comprise:
- Sickle cell anemia. Up to 42% of men with sickle cell will develop priapism.
2. Alcohol and cocaine abuse
3.Spinal cord trauma or conditions
4.Trauma to the genital area
5.Medications for example Desyrel utilized to treat depression, Thorazine used to treat definite mental illnesses.
6. Medications to avert blood clotting and drugs used to treat blood pressure can all cause priapism.
7. Anesthesia
8.In rare cases some types of penile cancer can cause priapism
9.Penile injections designed for impotence treatment can also cause priapism
Penis changed causes priapism
In a usual erection the veins narrow and that’s what makes the penis get bigger and hard. In priapism the veins do not calm down after an orgasm so the penis stays put erect and generally becomes extremely painful.
Diagnosis of Priapism
The doctor will ask about your medical history and examine you. He may perform a few tests, perhaps an ultrasound or angiogram and blood tests.
Priapism Treatment
Treatment is aimed at making the erection go, then treating the underlying cause, if one can be noticed. Treatment is generally done by injecting a decongestant medication, often following the draining of a little amount of blood from the penis to ease pressure. A local anesthetic to numb the penis is usually given before this procedure.
Surgery will be necessary to restore normal blood flow if the cause is a ruptured artery. A surgical shunt for low flow priapism may be necessary. This is placed into the penis to deflect the blood flow and reinstate normal blood flow and function.
People with sickle-cell disease usually receive intravenous fluids and a transfusion of blood. If that fails to have the preferred effect surgery may be required.
Some men experience semi-erect and trouble-free erections. This is usually a result of trauma where too much blood streaming into the penis, rather than narrowed veins, is the reason. This can be cured via surgery or with a catheter threaded through blood vessels in the groin.
Importance of medical intervention for Priapism
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